Chen X S, Ye G Y, Jiang C, Li W Z, Bian J, Wang H, Chen W
Department for Leprosy Research, CAMS & PUMC, National Center for STD and Leprosy Control, Nanjing, China.
Lepr Rev. 1997 Jun;68(2):155-61.
To improve the operational efficiency of multidrug therapy (MDT) implementation in rural areas, an investigation into the attitudes, beliefs and behaviour of leprosy patients and their family members as well as primary health care (PHC) workers towards MDT was carried out in Yangzhou and Dongtai Districts of China. A sample of 370 leprosy patients, 594 family members and 730 PHC workers was interviewed or investigated individually using questionnaires. The results showed that: 1, the presently used MDT is acceptable to a wide range of patients although a small number of patients have various problems in their treatment; 2, the patients' habit in daily drug administration, their awareness of the risk of default and confidence in MDT have a positive influence in increasing drug compliance; and 3, the supervision and encouragement of family members to patients' treatment which is associated with their knowledge on MDT is also beneficial to patients' drug compliance. However, only half of the PHC workers had a basic knowledge of MDT and a desire to participate in MDT implementation, a finding which clearly calls for urgent attention and improvement. In order to ensure the effective implementation of MDT, there is a need to educate leprosy patients and their family members as well as PHC workers to establish the patients' correct awareness of MDT, obtain the family support and motivate the PHC workers.
为提高农村地区联合化疗（MDT）实施的运作效率，在中国扬州和东台地区对麻风病人及其家庭成员以及基层医疗保健（PHC）工作者对MDT的态度、信念和行为进行了调查。采用问卷调查的方式，分别对370名麻风病人、594名家庭成员和730名基层医疗保健工作者进行了访谈或单独调查。结果显示：1. 尽管少数病人在治疗中存在各种问题，但目前使用的MDT为广大病人所接受；2. 病人日常服药习惯、对违约风险的认识以及对MDT的信心对提高药物依从性有积极影响；3. 家庭成员对病人治疗的监督和鼓励（这与他们对MDT的了解有关）也有利于病人的药物依从性。然而，只有一半的基层医疗保健工作者具备MDT的基本知识并希望参与MDT的实施，这一发现显然需要迫切关注和改进。为确保MDT的有效实施，有必要对麻风病人及其家庭成员以及基层医疗保健工作者进行教育，以树立病人对MDT的正确认识，获得家庭支持并激励基层医疗保健工作者。
